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. 2020 Jan 29;79(3):277–283. doi: 10.1093/jnen/nlz132

TABLE.

Comparison of Patients With Speech and Language Impairment and FTLD-TDP Type B Pathology

Patient 1 Patient 2 Patient 3 Patient 4
Sex Male Male Male Male
Handedness Right Right Right Right
Age at onset (years) 59 64 60 51
Duration of isolated aphasia/AoS (years) 4 2 2 3
Presenting clinical features
 Language Anomia Anomia Syntactic incomprehension Anomia
 Speech None None AoS AoS
 Motor None None None None
Late clinical features (years after presentation)
 Language Agrammatism (2) No additional features Agrammatism (1) Agrammatism (3)
 Speech None Dysarthria (2) Dysarthria (1) Anarthria (3)
 Motor None Axial rigidity, SNO (4) Axial rigidity, SNO (2) SNO (3)
Atrophy Severe left ATL Severe left ATL Left hemisphere Left hemisphere
TDP pathology (granular CI) L>R STG IFG, ATL L>R MFG, IPL L>R parietal
R>L STG
ALS pathology
 UMN Sparse Moderate Frequent Frequent
 LMN Moderate Sparse Frequent Moderate

AoS, apraxia of speech; ATL, anterior temporal lobe; STG, superior temporal gyrus; MFG, middle frontal gyrus; IFG, inferior frontal gyrus; IPL, inferior parietal lobule; CI, cytoplasmic inclusions; UMN, upper motor neuron; LMN, lower motor neuron.